# DR. RAFAEL A. PENALVER CLINIC, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508095050
- **Authorized official:** MR. BORIS ALVAREZ (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (305) 545-7737

## Contact information

- **Practice address:** 971 NW 2ND STREET, MIAMI, FL 33128-1205
- **Practice address phone:** (305) 545-7737
- **Practice address fax:** (305) 545-5862
- **Mailing address:** 971 NW 2ND ST, MIAMI, FL 33128-1205
- **Mailing address phone:** (305) 545-7737
- **Mailing address fax:** (305) 545-5862

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | FL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/06/2009
- **Last updated:** 07/06/2009